文章摘要
赵辉,曹素,董文君.髋关节置换术后病人下肢关节运动功能锻炼.骨科,2017,8(4):313-316
髋关节置换术后病人下肢关节运动功能锻炼
Movement exercise of the lower limb joints following hip arthroplasty
投稿时间:2016-03-21  
DOI:10.3969/j.issn.1674-8573.2017.04.013
中文关键词: 人工髋关节置换术  康复期  下肢关节  运动功能锻炼  并发症
英文关键词: Hip arthroplasty  Rehabilitation  Lower limb joints  Motor function  Complication
基金项目:
作者单位E-mail
赵辉 442000 湖北十堰湖北医药学院附属东风医院骨科  
曹素 湖北医药学院附属东风医院骨科手术室 caosu615@163.com 
董文君 200051 上海上海市第六人民医院骨科  
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中文摘要:
      目的 探讨人工髋关节置换术后病人康复期下肢关节的运动功能锻炼方法与效果。方法 2011年7月至2015年1月于湖北医药学院附属东风医院骨科择期行人工髋关节置换术病人104例,病人均顺利完成人工髋关节置换术。根据随机数字表法的平行对照原则分为常规组和改进组各52例,常规组给予常规护理,改进组在常规护理基础上采用流程化运动功能锻炼。比较两组病人首次下地时间、最长步行距离、髋关节Harris评分、并发症和36条目健康调查量表(36-item short-form health survey questionnaire, SF-36)的情况。结果 改进组病人首次下地时间明显早于常规组,术后2周改进组的最长步行距离比常规组长(均P<0.05)。康复后,改进组病人的髋关节功能Harris评分优良率为86.5%优于常规组的61.5%(P<0.05)。改进组康复期间的尿潴留、便秘、感染、褥疮、肌肉萎缩等并发症发生情况明显低于常规组(P<0.05)。康复后在总体健康、躯体疼痛、生理职能、生理功能等方面,改进组的得分均高于常规组(P<0.05)。结论 人工髋关节置换术病人康复期下肢关节的运动功能锻炼能减少病人术后卧床时间,提高髋关节康复的速度,降低并发症出现的概率,术后病人康复更好,病人的生活质量得到更好的改善。
英文摘要:
      Objective To investigate movement exercise of the lower limb joints and efficacy following the hip arthroplasty. Methods From July 2011 to January 2015, 104 cases of artificial hip replacement in Dongfeng Hospital Affiliated to Hubei University of Medicine were equally divided into the treatment group and the control group by a random number table, Both groups were successfully subjected to the hip arthroplasty. The patients in both groups were given the routine nursing care, and the patients in treatment group received the active movement exercise additionally. The 1st ambulation time, the longest walking distance, hip function Harris score, complication and SF-36 (36-item short-form health survey questionnaire) were compared between two groups. Results The 1st ambulation time in the treatment group was significantly earlier than in the control group (P<0.05). The postoperative longest walking distance at 2nd week in the treatment group was significantly longer than in the control group (P<0.05). The excellent rate of hip function after rehabilitation in the treatment group and control group was 86.5% and 61.5% respectively (P<0.05). The urinary retention, constipation, infection, bedsores, muscle atrophy and other complications in the treatment group during rehabilitation were significantly less than in the control group (P<0.05). The physiological functions, physical function, bodily pain and general health scores after rehabilitation in the treatment group were significantly higher than in the control group (P<0.05). Conclusion The movement exercise of lower limb joints following the hip arthroplasty can shorten postoperative bed time, promote the improvement of hip function, reduce complications and improve quality of life.
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